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NPI Code Detail

MEDICARE: DR. CASEY R BARTMAN MD

MEDICARE:  DR. CASEY R BARTMAN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianCB047651MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
204113561OTHERMIBLUE CROSS BLUE SHIELD
3CB047651OTHERMISTATE OF MICHIGAN LICENSE NUMBER

General Provider Information

NPI Number : 1578534699
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CASEY R BARTMAN MD
Provider Business Mailing Address
First Line : PO BOX 250
Second Line :
City : RICHLAND
State : MI
Zip : 49083-0250
Country : US
Telephone Number : 843-844-8188
Fax Number :
Provider Business Practice Location Address
First Line : 9363 E D AVE
Second Line :
City : RICHLAND
State : MI
Zip : 49083-9497
Country : US
Telephone Number : 629-269-5090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2006
Last Update Date : 10/30/2023

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